Abstract

This study investigates three aspects of the adhesive interaction operating between platelet glycoprotein Ib/IX and integrin alpha(IIb)beta(3). These include the following: 1) examining the sufficiency of GPIb/IX and integrin alpha(IIb)beta(3) to mediate irreversible cell adhesion on immobilized von Willebrand factor (vWf) under flow; 2) the ability of the vWf-GPIb interaction to induce integrin alpha(IIb)beta(3) activation independent of endogenous platelet stimuli; and 3) the identification of key second messengers linking the vWf-GPIb/IX interaction to integrin alpha(IIb)beta(3) activation. By using Chinese hamster ovary cells transfected with GPIb/IX and integrin alpha(IIb)beta(3), we demonstrate that these receptors are both necessary and sufficient to mediate irreversible cell adhesion under flow, wherein GPIb/IX mediates cell tethering and rolling on immobilized vWf, and integrin alpha(IIb)beta(3) mediates cell arrest. Moreover, we demonstrate direct signaling between GPIb/IX and integrin alpha(IIb)beta(3). Studies on human platelets demonstrated that vWf binding to GPIb/IX is able to induce integrin alpha(IIb)beta(3) activation independent of endogenous platelet stimuli under both static and physiological flow conditions (150-1800 s(-)(1)). Analysis of the key second messengers linking the vWf-GPIb interaction to integrin alpha(IIb)beta(3) activation demonstrated that the first step in the activation process involves calcium release from internal stores, whereas transmembrane calcium influx is a secondary event potentiating integrin alpha(IIb)beta(3) activation.

Highlights

  • This study investigates three aspects of the adhesive interaction operating between platelet glycoprotein Ib/IX and integrin ␣IIb␤3

  • Studies on human platelets demonstrated that von Willebrand factor (vWf) binding to GPIb/IX is able to induce integrin ␣IIb␤3 activation independent of endogenous platelet stimuli under both static and physiological flow conditions (150 –1800 s؊1)

  • This multivalent adhesive interaction is unique in that it can tether platelets at high shear stresses [6], a key requirement for the ability of platelets to secure hemostasis throughout the arterial circulation. vWf binding to GPIb/IX induces platelet activation, converting the major platelet integrin, ␣IIb␤3, from a low affinity to a high affinity receptor capable of engaging the C1 domain of vWf (8 –10)

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Summary

STUDIES IN HUMAN PLATELETS AND TRANSFECTED CHINESE HAMSTER OVARY CELLS*

A major unresolved issue is the mechanism by which the vWf-GPIb interaction induces activation of integrin ␣IIb␤3 under physiological flow conditions It is unclear whether GPIb/IX induces integrin ␣IIb␤3 activation directly, through the generation of intracellular second messengers, or involves an indirect pathway dependent on the release of ADP and/or the generation of thromboxane A2 (TXA2). Evidence favoring the latter mechanism has been suggested from studies of shear-induced platelet aggregation using a cone-and-plate viscometer [13, 14], in which the exposure of platelets in suspension to pathological levels of shear induces platelet activation in an ADP-dependent manner According to this model (Fig. 1), shear-induced binding of soluble vWf to GPIb induces transmembrane calcium influx through an unidentified surface channel functionally linked to the GPIb/IX complex. We have demonstrated that intracellular calcium mobilization and activation of protein kinase C (PKC) are two key signaling events linking the vWf-GPIb interaction to integrin ␣IIb␤3 activation over the full range of shear forces experienced by platelets in vivo

EXPERIMENTAL PROCEDURES
RESULTS
Previous studies have demonstrated that transfection of
DISCUSSION
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